ASO Invoicer I

Capital Blue Cross • Harrisburg, PA

1d

About The Position

The position is responsible for the preparation of ASO (Administrative Services Only) and CDH group invoices and letters that include medical and vendor claims plus additional administrative charges and other fees. The incumbent is responsible for tracking payments, the production of special request ASO group invoicing reports, research and resolve rate, payment, and claim discrepancies as requested by Account Administration Operations, Marketing, Underwriting and Rating, and Finance/Accounting personnel. Acts as a liaison between various units in the department to coordinate the resolution of requests/inquiries regarding group problems, and researches requests to move claim utilization from one group to another. Responsible for completing invoices and compiling supporting documentation consistent with the control requirements established for the SSAE16 and MAR audit processes.

Requirements

• Demonstrates the ability to perform arithmetic, percentage and statistical calculations
• Excellent organizational skills and ability to schedule own work, adapt to changing priorities to meet deadlines while under strict time constraints.
• Ability to work independently as well as part of a team.
• Ability to analyze various financial and billing reports.
• Demonstrates a proficient ability to utilize a personal computer and various software packages (i.e., Facets, Microsoft Word, Excel, Access), with the ability to produce standard and customized reports.
• Demonstrates the ability to communicate effectively and professionally via telephone, voice mail, electronic mail, in person and in writing.
• Demonstrates dependability.
• 1 year of experience in the health insurance arena.
• High School degree or equivalent.

Nice To Haves

• Prefer some billing or accounts payable experience.

Responsibilities

• Prepares invoices for AFA/ASO and CDH accounts under strict time constraints.
• Responsible for ensuring the receipt of all necessary information and validating this information for accuracy.
• Responsible for the timely and accurate submission of security requests to the Access Coordinator to allow designated recipients of the invoice package to be able retrieve the invoice from the Capital Blue Cross Website.
• Ability to verify and review Sales Summary Reports/Order Views to ensure that groups are receiving and are being billed accurately and to communicate missing information that is needed for verification/clarification.
• Update the AFA billing entity, the AFA Agreement and manual discretionaries in Facets to allow for accurate billing.
• Researches and updates group information utilized by the unit (i.e. paperbuild, spreadsheets, etc.).
• Notifies the TA and Supervisor of any ASO billing procedures that need to be updated in SharePoint.
• Researches and resolves group problems reported by Operations personnel such as rate discrepancies, Product inconsistencies, enrollment and benefit discrepancies and HIPAA conflicts.
• Coordinates the resolution of payment discrepancies with the appropriate business area.
• Researches requests from group accounts and/or another area within CBC in regards to billing and group set up.

Benefits

• Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED